POULIN PERFORMANCE AND REHABILITATION CENTER
NPI 1174553283
Physical Therapist in South Burlington, VT
NPI Status: Active since July 04, 2006
Contact Information
21 GREGORY DR
SUITE 120
SOUTH BURLINGTON, VT
ZIP 05403
Phone: (802) 658-0949
Fax: (802) 658-1436
- Organization
- Physical Therapist
About POULIN PERFORMANCE AND REHABILITATION CENTER
This page provides the complete NPI Profile along with additional information for Poulin Performance And Rehabilitation Center, a provider established in South Burlington, Vermont operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1174553283 assigned on July 2006. The practitioner's primary taxonomy code is 225100000X with license number 040-0002746 (VT). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Poulin Performance And Rehabilitation Center. The authorized official of this NPI record is Ms. Cynthia Audette Critchlow Cappm (Practice Administrator)
- NPI
- 1174553283
- Provider Legal Name
- POULIN PERFORMANCE, INC.
- Other Organization Name
- POULIN PERFORMANCE AND REHABILITATION CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 21 GREGORY DR SUITE 120 SOUTH BURLINGTON, VT 05403
- Location Phone
- (802) 658-0949
- Location Fax
- (802) 658-1436
- Mailing Address
- PO BOX 486 WILLISTON, VT 05495
- Mailing Phone
- (802) 658-0949
- Mailing Fax
- (802) 658-1436
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-04-2006
- Last Update Date
- 10-23-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 040-0002746
- License State
- VT
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59089 | OTHER (01) | VT | BCBS |
| 1009260 | MEDICAID (05) | VT | |
| 0632746 | OTHER (01) | UT | CIGNA |
| VN3054 | MEDICARE ID-TYPE UNSPECIFIED (04) | VT |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 5 | 5 | 3 | 2 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 10 | 5 | 6 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 0 + 5 + 6 + 2 + 1 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1174553283 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194792440 | MR. JOSHUA EARL WELLENSTEIN PT, DPT Individual | Physical Therapist (Orthopedic) | 21 GREGORY DR C/O POULIN PERFORMANCE, INC. SOUTH BURLINGTON, VT 05403 (802) 658-0949 |
| 1275543860 | JENNIFER A POULIN PT Individual | Physical Therapist | 21 GREGORY DR SUITE 120 SO BURLINGTON, VT 05403 (802) 658-0949 |
| 1093911968 | MRS. KRISTINA MARGARET MARCUSSEN PT Individual | Physical Therapist | 21 GREGORY DR SOUTH BURLINGTON, VT 05403 (802) 658-0949 |
| 1366627648 | KAREN D KENNEDY PT Individual | Physical Therapist | 21 GREGORY DR SUITE 120 SOUTH BURLINGTON, VT 05403 (802) 658-0949 |
| 1568522506 | MRS. SUSAN DODGE P.T. Individual | Physical Therapist | 21 GREGORY DR SOUTH BURLINGTON, VT 05403 (802) 658-0949 |
| 1184057143 | PEAK PHYSICAL THERAPY SPORTS AND PERFORMANCE CENTER, LLC Organization | Clinic/Center (Physical Therapy) | 21 GREGORY DR SOUTH BURLINGTON, VT 05403 (802) 658-0949 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174553283, enumerated in the NPI registry as an "organization" on July 04, 2006
The provider is located at 21 Gregory Dr Suite 120 South Burlington, Vt 05403 and the phone number is (802) 658-0949
This medical organization specializes in Physical Therapist with taxonomy code 225100000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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